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CRISP TANK TES i'ING <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> /TESTI /REPO-;j REPORT <br /> OWNER OF SITE /,lvv I- 6417 /► em i <br /> ADDRESS,,'jrj bly. CITY STATE_�&IP'9 ' 3 <br /> OWNER OF TANKS_jKnLnFj-ln:;�jL6nn law <br /> ADDRESS,9 '1`� /1IMn CITY , rn/� , STATE�A I <br /> OPERATOR AT LOCATION f <br /> STATE LZIP� <br /> NAME OF COUNTY-,'Sal) ,nO,41 l/n <br /> TANK # n(V, ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY DIAMETER METAL FIBERGLASS AGE <br /> TYPE OF SYSTEM: SUCTION: SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED if MEASURED GRAVITY <br /> COEFFICIENT S 4 j . TEMPERATURE OF PRODUCTAIR <br /> STORAGE HER:- DATEyjrn-n -OV IQ? TIME <br /> TESTED - DATE , STARTFINISH <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK ) HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO . IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATOR <br /> DATE <br />